Accuracy of the epidural catheter position during the lumbar approach in infants and children: a comparison among L2-3, L3-4, and L4-5 approaches / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 458-463, 2010.
Artículo
en Inglés
| WPRIM
| ID: wpr-145230
ABSTRACT
BACKGROUND:
The aim of this study was to compare the accuracy of the position of the epidural catheter inserted from three different lumbar intervertebral spaces, L2-3, L3-4, and L4-5, in infants and children.METHODS:
Seventy-five children were randomly allocated to 3 groups according to the epidural catheter insertion site (L2-3, L3-4, and L4-5). The epidural catheter tip was identified using 50% diluted Iohexol and fluoroscopy. The incidence of correct position was compared among the groups and between infants and children.RESULTS:
The incidence of correct position was significantly higher in the L2-3 group as compared to the L3-4 and L4-5 groups (P = 0.023 and P = 0.046 respectively). The incidence of correct position was higher in infants compared to children (P = 0.017).CONCLUSIONS:
The L2-3 intervertebral space is preferable during epidural catheter insertion in children older than 1 year, but a low lumbar level should be considered in infants because they have a higher risk of neural damage.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pediatría
/
Yohexol
/
Fluoroscopía
/
Analgesia Epidural
/
Incidencia
/
Catéteres
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Niño
/
Humanos
/
Lactante
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2010
Tipo del documento:
Artículo
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